PopHealth Week: From Network Discounts to Population Health with Frank Roby, Averify

About this episode

Frank Roby discusses the integration of price, quality, and member risk in employer health plan management and the implications for population health.

On this episode Fred and Gregg welcome Frank Roby, Chairman and CEO of Averify LLC, the Dallas-based company behind Healthcare's Fair Price Index. Roby challenges one of the most stubborn myths in employer health plan management: that price, quality, and member risk can be managed separately. Using Averify's proprietary Variability Cost Index®, Roby explains how independent benchmarking of medical claims data exposes the pricing ambiguity hidden inside every network discount and how that clarity cascades into better population health outcomes. The conversation covers GLP-1 drug spending, musculoskeletal care design, the equity failures of high-deductible health plans, voluntary benefits, and the accountability obligations the Consolidated Appropriations Act of 2021 now places on every plan sponsor. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

People in this episode

Hosts: Fred, Gregg

Guest: Frank Roby

Topics covered

• population health
• healthcare pricing
• medical claims data
• high-deductible health plans
• health plan management
• GLP-1 drug spending
• musculoskeletal care

Keywords

• Averify
• Variability Cost Index
• network discounts
• healthcare equity
• voluntary benefits
• medical claims
• population health outcomes

Mentioned in this episode

Organizations: Averify LLC, Healthcare's Fair Price Index, Consolidated Appropriations Act of 2021, Healthcare NOW Radio

Places: Dallas

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